| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $20.89 | $27.54 | |
BCBS
| Professional | $26.30 | $28.18 | $28.18 | |
Cigna
| Professional | $20.89 | $24.55 | $74.13 | |
Medcost
| Facility | $17.38 | $26.30 | $56.23 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $15.85 | $19.95 | $52.48 |